Successful treatment of postoperative massive pulmonary embolism with paradoxal arterial embolism through extracorporeal life support and thrombolysis

被引：2

作者：

Grapatsas, Konstantinos ^{[1
,2
]}

Leivaditis, Vasileios ^{[1
]}

Zarogoulidis, Paul ^{[3
]}

Tsilogianni, Zoi ^{[4
]}

Kotoulas, Sotirios ^{[2
]}

Kotoulas, Christophoros ^{[2
]}

Koletsis, Efstratios ^{[5
]}

Iliadis, Ilias Stylianos ^{[2
]}

Spiliotopoulos, Konstantinos ^{[6
]}

Trakada, Georgia ^{[3
]}

Veletza, Lemonia ^{[3
]}

Kallianos, Anastasios ^{[3
]}

Tsiouda, Theodora ^{[3
]}

Kosmidis, Christoforos ^{[7
]}

Hohenforst-Schmidt, Wolfgang ^{[8
]}

Huang, Haidong ^{[9
]}

Haussmann, Rainer ^{[10
]}

Haussmann, Erich ^{[10
]}

Dahm, Manfred ^{[10
]}

机构：

[1] Mainz Univ, Acad Educ Hosp, Westpfalz Klinikum, Dept Cardiothorac & Vasc Surg, Kaiserslautern, Germany

[2] Iaso Gen, Dept Cardiothorac Surg, Athens, Greece

[3] Theageneio Canc Hosp, Pulm Oncol Dept, Thessaloniki, Greece

[4] 401 Gen Mil Hosp, Dept Pulmonol, Athens, Greece

[5] Univ Hosp Patras, Sch Med, Dept Cardiothorac Surg, Patras, Greece

[6] Newcastle Upon Tyne Hosp NHS Fdn Trust, Cardiothorac Serv, Newcastle Upon Tyne, Tyne & Wear, England

[7] Interbalkan European Med Ctr, Dept Surg, Thessaloniki, Greece

[8] Univ Erlangen Nurnberg, Hof Clin, Sana Clin Grp Franken, Dept Cardiol Pulmonol Intens Care Nephrol, Hof, Germany

[9] Second Mil Med Univ, Changhai Hosp, Dept Resp & Crit Care Med, Shanghai, Peoples R China

[10] Mainz Univ, Acad Educ Hosp, Westpfalz Klinikum, Dept Anesthesiol Emergency Care Med & Intens Care, Kaiserslautern, Germany

来源：

RESPIRATORY MEDICINE CASE REPORTS | 2018年 / 23卷

关键词：

Pulmonary embolism; Extracorporeal membrane oxygenation; Thrombolysis; Catheter thrombolysis;

D O I：

10.1016/j.rmcr.2017.10.014

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Pulmonary embolism is a common clinical entity related to high mortality. About 200,000 to 300,000 patients die every year due to pulmonary embolism. The purpose of this article is to describe a case of a patient who on the second postoperative day after undergoing thromboembolectomy of the left femoral artery, manifested a massive pulmonary embolism. Due to cardiorespiratory collapse a combined treatment via extracorporeal life support (ECLS) and parallel catheter thrombolysis was decided and performed. By cardiorespiratory improvement and final stabilization the patient was successfully weaned from ECLS and the system was successfully removed. After a reasonable postoperative time the patient was dismissed in good overall condition.

引用

页码：1 / 3

页数：3

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